Individual ProviderLetitia Ingram-BrownSocial WorkerBehavioral Health & Social Service ProvidersPractice Address925 Van Duzer St, Staten Island, NY 10304-1817(718) 809-8788PECOS EnrollmentBased on the most recent information from CMS, provider Letitia Ingram-Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1598529604Provider TypeIndividualFull NameIngram-Brown, LetitiaGenderFemaleSole ProprietorNoEnumeration Date2/8/2024Last Updated2/8/2024Contact InformationPractice LocationPractice Address925 Van Duzer St, Staten Island, NY 10304-1817Phone(718) 809-8788Fax(718) 524-6257Mailing LocationMailing Address925 Van Duzer St, Staten Island, NY 10304-1817Phone(718) 809-8788Fax(718) 524-5762Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer